title: The role of a lack of social integration in never having undergone breast cancer screening: results from a population-based, representative survey in the Paris metropolitan area in 2010.
abstract: OBJECTIVE
  This study aims to investigate the association between social contact and social support and women's breast cancer screening (BCS) practices, taking their socioeconomic status (SES) into account.
  
  
  METHODS
  The SIRS survey was conducted in 2010 in the Paris metropolitan area among a representative sample of 3000 French-speaking adults. For the 784 women aged 50years or older with no history of breast cancer, multivariate logistic regressions and bootstrap methods were used to analyze the factors associated with never having undergone BCS.
  
  
  RESULTS
  6.5% of these women had never undergone BCS. In multivariate analysis, being older, having a low education level, having poor-quality health insurance, and having one or less than one social contact per 3-day period were significantly associated with never having undergone BCS during their lifetime, but the level of social support was not. The strength of the association with a low frequency of social contact tended to increase with age.
  
  
  CONCLUSIONS
  This study analyzed the role of social contact in social inequalities in BCS practices in the Paris metropolitan area. Like SES, social integration and social isolation should be taken into consideration by public health professionals and practitioners when planning BCS programs and incentives.
authors.affiliation: INSERM, UMRS 707, Research Team on the Social Determinants of Health and Healthcare, 75012 Paris, France; UPMC Univ Paris 06, School of Medicine, Department of General Practice, 75012 Paris, France. Electronic address: rondet@u707.jussieu.fr.
authors.forename: Claire
authors.initials: C
authors.lastname: Rondet
authors.forename: Marion
authors.initials: M
authors.lastname: Soler
authors.forename: Virginie
authors.initials: V
authors.lastname: Ringa
authors.forename: Isabelle
authors.initials: I
authors.lastname: Parizot
authors.forename: Pierre
authors.initials: P
authors.lastname: Chauvin
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D010297:Paris / Q000453:epidemiology; D012307:Risk Factors; D012934:Social Isolation / Q000523:psychology; D012959:Socioeconomic Factors
keywords: Breast cancer screening; France; Paris; Social integration; Social support